Basic Concepts Flashcards

1
Q

What is a locus?

A

Segment of DNA occupying a particular position or location on a chromosome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are alleles?

A

Alternative variants of a gene

  • Wild type or common allele: single prevailing allele present in the majority of individuals
  • Other versions are variant of mutant alleles that differ from the wild-type because of the presence of a mutation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Define the following:

  • Homozygous
  • Heterozygous
  • Compound heterozygote
A
  • Homozygous: when a person has a pair of identical alleles at a locus
  • Heterozygous (aka “carrier”): when a person has different alleles on both pairs of a chromosome
  • Compound heterozygote (aka “double heterozygote”): 2 different mutant alleles of the same gene are present
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is hemizygous?

A

Male has an abnormal allele for a gene located on the X chromsome and there is no other copy of the gene (neither homozygous nor heterozygous)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Genotype vs. phenotype?

A
  • Genotype: set of alleles that make up his/her genetic constitution; either collectively at all loci or more typically, at a single locus
  • Phenotype: observable expression of a genotype as a morphological, clinical, cellular, or biochemical trait
  • Can be normal or abnormal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How many genes do humans have?

  • Chromosomes?
A
  • About 20,000 genes
  • 46 chromosomes (23 pairs)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe the following genetic disorder patterns:

  • Single gene (Menelian)
  • Chromosomal
  • Multifactorial

in terms of:

  • Prevalence
  • Pattern of inheritance
  • Risk to relatives
A

Single gene (Mendelian)

  • Numerous though individually rare
  • Clear pattern of inheritance
  • High risk to relatives

Chromsomal

  • Mostly rare
  • No clear pattern of inheritance
  • Usually low risk to relatives

Multifactorial

  • Common disorders
  • No clear pattern of inheritance
  • Low/moderate risk to relatives
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is penetrance?

A

Percentage of relatives expressing the disorder to any degree, from the most trivial to the most severe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are different types/expressions of penetrance? Examples?

A

Age dependent penetrance

  • Huntington disease

Incomplete penetrance: not all mutation carriers will manifest the disorder during a natural lifespan

  • Lynch syndrome
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is expressivity?

A

Variation in the severity of a disorder in individuals who have inherited the same disease alleles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the different types/expressions of expressivity?

A

- Interfamilial variation: difference in severity between families

- Intrafamilial variation: difference in severity within families carrying the same mutation

  • E.g. tuberous sclerosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is mosaicism? Subtypes?

A

Somatic mosaicism:

  • A new mutation arising at an early stage in embryogenesis causing a partial phenotype
  • Ex) segmental NF1

Gonadal/germline mosaicism:

  • A new mutation arising during oogenesis or spermatogenesis may cause no phenotype in the parent but can be transmitted to the offspring
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe autosomal dominant inheritance

  • Number of mutant alleles
  • Chance of passing to offspring
  • Features of inheritance pattern
A
  • 1 mutant allele is sufficient to cause disease
  • 50% chance of transmission with each pregnancy

Features:

  • Vertical transmission
  • Male-to-male transmission
  • Affected males = affected females
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What inheritance pattern is seen here?

A

Typical autosomal dominant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What inheritance pattern is seen here?

A

Non-penetrance of autosomal dominant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What inheritance pattern is seen here?

A

New mutation (of autosomal dominant)

17
Q

What inheritance pattern is seen here?

A

Sex-limited expression (of autosomal dominant)

18
Q

What inheritance pattern is seen here?

A

Gonadal mosaicism

19
Q

Describe autosomal recessive inheritance

  • Number of mutant alleles
  • Features of inheritance pattern
A
  • 2 mutant genes are required to cause disease

Features:

  • Horizontal pattern of affected individuals
  • Males and females equally affected
  • Parents unaffected yet obligate carriers
  • Child of affected persons is (at least) obligate carrier
20
Q

What is the Lyon Hypothesis?

A

One X in female somatic cells undergoes random inactivation

21
Q

Describe sex chromosome inheritance

A
  • Males are hemizygous for genes on the X chromosome
  • All daughters of affected males are carriers
  • 50% of daughters of carrier females are carriers
  • 50% of sons of carrier females are affected
  • All sons of affected males are “normal”; there is no male-male transmission of X linked conditions!
22
Q

Describe the mitochondrial genome

  • Linear vs. circular
  • Number of nucleotides/genes
  • Products
  • Inheritance pattern
A
  • Circular, mtDNA
  • 16,000 nucleotides encoding 13 proteins (many are subunits of protein complexes of the respiratory chain, 2 rRNA genes, and 22 tRNA genes)
  • Almost entire genome is coding sequence
  • Derived from oocyte mitochondria, thus they exhibit MATRILINEAL inheritance
  • Affected female can pass disorder to ALL of her progeny
  • Expression determined by degree of heteroplasmy
23
Q

What is multfactorial/polygenic inheritance?

A

Disorders/traits that result from complex interactions between many or few genes and the environment

  • Although the disorder/trait may be familial, there is NOT a simple mendelian pattern of inheritance
  • Recurrence risks are based on empiric data
24
Q

What does this pedegree show?

A

Multifactorial inheritance

25
Key concept: even without a positive family history we all have risks!
Examples, even in "normal" population: - 1/30 risk of child being born with some congenital abnormality - 1/50 risk of child being born with serious physical or mental handicap - 1/8 risk of pregnancy ending with spontaneous abortion
26
In pedigrees, what shapes are used for: - Males - Females - Unknown sex - Miscarriage/abortion
- Males: **square** - Females: **circle** - Unknown sex: **diamond** - Miscarriage/abortion: **triangle**
27
What does a slash through a shape indicate on a pedigree?
Deceased individual
28
What is the approach to genetic conditions with the physical exam?
- Head to toe: inspection - Facial dysmorphisms (one thing alone may mean nothing) - Obvious structural anomalies - Fingers/toes - Measurement of height, weight, and head circumference
29
What are different forms of genetic evaluation?
_Chromosome/DNA level:_ - Karyotype - FISH - Array CGH _Nucleotides_ - Sequencing - Single gene/panel - Whole exome
30
What can be seen in a karytopye? What conditions?
- Abnormal number * Down syndrome (3x21) * Klinefelter syndrome (XXY) * Turner (XO) - Balanced translocation - Big deletions/duplications
31
What is array CGH? - Indications for it?
- **Array Comparative Genomic Hybridization (Array CGH)** allows for the detection of a large number of DNA copy number changes (gain/loss) - Indications include: dysmorphic features; unexplained intellectual disability; autism spectrum disorder and/or multiple congenital anomalies
32
What is the process/mechanism of chromosomal microarray (CMA) or array CGH? - What does Cy3/Cy5 \> 1 indicate? \< 1?
- Label pt DNA with Cy3 (green) and control with Cy5 (red) - Mix should appear yellow - Hybridize DNA to genomic clone microarray - Analyze Cy3/Cy5 fluorescence ratio of patient to control * Cy3/Cy5 \> 1: **duplication** (more green) * Cy3/Cy5 \< 1: **deletion** (more red)
33
When is single gene testing helpful? - Benefits?
- Phenotype and other findings clearly point to one disorder that is associated with one gene * Ex) Marfan syndrome is associated only with the gene FBN1 - High clinical sensitivity - Minimal risk of Variants of uncertain significance (VUS)
34
When are gene panels helpful? - Benefits?
- Increases analytical sensitivity to DNA diagnostic testing - Simplifies the decision making process for the ordering physician - Number of genes for the same or similar clinical indications vary among different labs - Is “more” better? - Genes with a strong association are certainly included - Genes associated with disorders that have overlapping phenotypes with those of the primary disorders are included for differential diagnosis
35
What is whole exome sequencing used for?
To analyze the exons or coding regions of thousands of genes simultaneously using next-generation sequencing techniques - There are ~ 180,000 exons in the human genome, which represent about 3% of the genome and are arranged in about 22,000 genes
36
What is exome sequencing used for?
Exome sequencing is now the most commonly used tool for Mendelian disease gene discovery - Diagnostic yield of 25% - Significant cost-benefit for patients who remain undiagnosed after a few traditional appraoches